Compliance method
The present disclosure relates to methods incorporating the use of a biomarker (CEVal) for assessing compliance with a smoking cessation program, for example, a smoking cessation program which involves subjects switching from conventional cigarettes to a hybrid device, an e-cigarette and/or a tobacco heating product, a smoking cessation program involving the use of nicotine replacement therapy, a smoking cessation program involving lifestyle choices or therapy, or a combination thereof.
1 . A method of assessing compliance with a smoking cessation program, said method comprising:
(a) providing one or more blood samples from a subject;
(b) measuring the level of N-(2-cyanoethyl) valine (CEVal) from the one or more blood samples of the subject in a biological assay;
(c) comparing the level obtained in step (b) with reference levels of CEVal for the smoking cessation program; and
(d) stratifying the subject according to compliance with the smoking cessation program based on the comparison in step (c); and
(e) modifying or maintaining the smoking cessation program for the subject based on the stratification in step (d);
wherein the smoking cessation program comprises switching from combustible smoking articles to a non-combustible aerosol provision system, nicotine replacement therapy, lifestyle choices, therapy or a combination thereof;
wherein the reference levels of CEVal are indicative of compliance or non-compliance with the smoking cessation program, or indicative of compliance, partial compliance or non-compliance with the smoking cessation program;
wherein the smoking cessation program has a length of at least 80 days and wherein the reference CEVal levels at about day 80 to about day 100 of the smoking cessation program are:
i. <about 78 to <about 40 pmol/g Hb CEVal for compliance; and
ii. ≥60 to ≥about 78 pmol/g Hb CEVal for non-compliance;
provided that (i) and (ii) are different; or
i. <about 78 to <about 40 pmol/g Hb CEVal for compliance;
ii. between about 60 and about 164 pmol/g Hb CEVal for partial compliance; and
iii. >about 78 to >about 164 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
2 . The method of claim 1 , wherein steps (a), (b), (c) and (d) are carried out repeatedly during the course of the smoking cessation program to assess the subject's continued compliance.
3 . The method of claim 1 , wherein the reference CEVal levels at about day 170 to about day 190 of the smoking cessation program are:
i. <about 54 to <about 35 pmol/g Hb CEVal for compliance; and
ii. ≥about 35 to ≥about 54 pmol/g Hb CEVal or greater for non-compliance, provided that (i) and (ii) are different;
or
i. <about 54 to <about 35 pmol/g Hb CEVal for compliance;
ii. between about 35 and about 112 pmol/g Hb CEVal for partial compliance; and
iii. >about 60 to >about 112 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
4 . The method of claim 1 , wherein the reference CEVal levels at about day 350 to about day 370 of the smoking cessation program are:
i. <about 35 to <about 20 pmol/g Hb CEVal for compliance; and
ii. ≥about 20 to ≥about 35 pmol/g Hb CEVal for non-compliance
provided that (i) and (ii) are different;
or
i. <about 35 to <about 20 pmol/g Hb CEVal for compliance;
ii. between about 20 and about 78 pmol/g Hb CEVal for partial compliance; and
iii. >about 40 to >about 78 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
5 . A method of assessing compliance with a smoking cessation program, said method comprising:
(a) providing one or more blood samples from a subject;
(b) measuring the level of N-(2-cyanoethyl) valine (CEVal) from the one or more blood samples of the subject in a biological assay;
(c) comparing the level obtained in step (b) with reference levels of CEVal for the smoking cessation program;
(d) stratifying the subject according to compliance with the smoking cessation program based on the comparison in step (c); and
(e) modifying or maintaining the smoking cessation program for the subject based on the stratification in step (d);
wherein the smoking cessation program comprises switching from combustible smoking articles to a non-combustible aerosol provision system, nicotine replacement therapy, lifestyle choices, therapy or a combination thereof;
wherein the reference levels of CEVal are indicative of compliance or non-compliance with the smoking cessation program, or indicative of compliance, partial compliance or non-compliance with the smoking cessation program;
wherein the smoking cessation program has a length of at least 80 days and wherein the reference CEVal levels at about day 80 to about day 100 of the smoking cessation program are:
i. <about 78 to <about 40 pmol/g Hb CEVal for compliance;
ii. between about 60 and about 150 pmol/g Hb CEVal for partial compliance; and
iii. >about 78 to >about 150 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
6 . The method of claim 5 , wherein the reference levels are:
i. <about 76 pmol/g Hb CEVal for compliance;
ii. between about 76 and about 142 pmol/g Hb CEVal for partial compliance; and
iii. >about 142 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
7 . The method of claim 5 , wherein the reference CEVal levels at about day 170 to about day 190 of the smoking cessation program are:
i. <about 45 to <about 25 pmol/g Hb CEVal for compliance;
ii. between about 25 and about 100 pmol/g Hb CEVal for partial compliance; and
iii. >about 45 to >about 100 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
8 . The method of claim 7 , wherein the reference levels are:
i. <about 25 pmol/g Hb CEVal for compliance;
ii. between about 25 and about 77 pmol/g Hb CEVal for partial compliance; and
iii. >about 77 pmol/g Hb CEVal for non-compliance;
provided that (i), (ii) and (iii) are different.
9 . The method of claim 5 , wherein the reference CEVal levels at about day 350 to about day 370 of the smoking cessation program are:
i. <about 25 to <about 10 pmol/g Hb CEVal for compliance;
ii. between about 10 and about 40 pmol/g Hb CEVal for partial compliance; and
iii. >about 20 pmol/g Hb CEVal for non-compliance,
provided that (i), (ii) and (iii) are different.
10 . The method of claim 9 , wherein the reference levels are:
i. <about 10 pmol/g Hb CEVal for compliance;
ii. between about 10 and about 22 pmol/g Hb CEVal for partial compliance; and
iii. >about 22 pmol/g Hb CEVal for non-compliance,
provided that (i), (ii) and (iii) are different.